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Original Research

Open Access

Staphylococcus Aureus Contamination in a Pediatric Dental Clinic

  • Thais de Cássia Negrini1
  • Cristiane Duque2,*,
  • Ana Carolina Mascarenhas de Oliveira3
  • Josimeri Hebling4
  • Luis C Spolidorio5
  • Denise MP Spolidorio4

1Department of Clinical Analysis, Faculty of Pharmaceutical Sciences, University of São Paulo State (UNESP), Araraquara, São Paulo, Brazil

2Department of Clinical Analysis, Faculty of Pharmaceutical Sciences, University of São Paulo State (UNESP), Araraquara, São Paulo, Brazil

3Department of Pediatric Dentistry, Federal Fluminense University (UFF), Nova Friburgo, Rio de Janeiro

4Department of Endodontics, Piracicaba School of Dentistry, State University of Campinas (Unicamp), Piracicaba, São Paulo, Brazil

5Department of Pediatric Dentistry, Araraquara School of Dentistry, University of São Paulo State (UNESP), Araraquara, São Paulo, Brazil

6Department of Physiology and Pathology, Araraquara School of Dentistry, University of São Paulo State (UNESP), Araraquara, São Paulo, Brazil

DOI: 10.17796/jcpd.34.1.n435k10291222035 Vol.34,Issue 1,January 2010 pp.13-18

Published: 01 January 2010

*Corresponding Author(s): Cristiane Duque E-mail: cristianeduque@yahoo.com.br

Abstract

Staphylococcus aureus strains can be disseminated during dental treatment and occasionally lead to contamination and infection of patients and dentists. The objective of this study was to determine the frequency and compare the number of S.aureus colonies isolated from the nose, hands and tongue of students and patients, as well as from the clinical environment, before and after dental treatment. Staphylococcus species were isolated from the tongue, nose and hands of 30 students and 30 patients and from the environment of a Pediatric Dentistry Clinic. The samples were incubated in SMA plates at 37o C for 48 hours. Results: The colonies that showed the presence of mannitol fermentation were collected as identification for Staphylococcus aureus, using CHROMagar and the coagulase test. The highest amount of S.aureus was found in the nose and tongue of children. In relation to dental students, more contamination was observed on gloved hands, followed by the tongue and hands without gloves, before clinical attendance. At the end of dental treatment, S. aureus colonies isolated from the gloved hands of students decreased significantly. Considering the clinical environment, the most contaminated areas were the auxiliary table and the storeroom, which was located at the center of the clinic. Conclusion: The dental clinic can be considered an environment for S. aureus cross-transmission. Preventative measures should be used to avoid the dissemination of pathogenic microorganisms.

Keywords

Staphylococcus aureus, Pediatric Dentistry, cross-contamination

Cite and Share

Thais de Cássia Negrini,Cristiane Duque,Ana Carolina Mascarenhas de Oliveira,Josimeri Hebling,Luis C Spolidorio,Denise MP Spolidorio. Staphylococcus Aureus Contamination in a Pediatric Dental Clinic. Journal of Clinical Pediatric Dentistry. 2010. 34(1);13-18.

References

1. Andrade GP, Zelante F. Ocorrência simultânea de Staphylococcus aureus enterotóxigênicos nas mãos, boca e fezes em portadores assintomáticos. Rev Saúde Publ, 23: 277–84, 1989.

2. Autio KL, Rosen S, Reynolds NJ, Bright JS. Studies on cross-contam-ination in the dental clinic. J Am Dent Assoc, 100: 358–61, 1980.

3. Bennett AM, Fulford MR, Walker JT, Bradshaw DJ, Martin MV, Marsh PD. Microbial aerosols in general dental practice. Br Dent J, 189: 664–7, 2000.

4. Bernardo WLC, Boriollo MFG, Gonçalves RB, Höfling JF. Staphylo-coccus aureus ampicillin-resistant from the odontological clinic envi-ronment. Rev Inst Med Trop S Paulo, 47: 19–24, 2005.

5. Best M, Kennedy ME. Effectiveness of handwashing agents in elimi-nating Staphylococcus aureus from gloved hands. J Appl Bacteriol, 73: 63–6, 1992.

6. Cochran MA, Miller CH, Sheldrake MS. The efficacy of the rubber dam as a barrier to the spread of microorganisms during dental treat-ment. J Am Dent Assoc, 119: 141–4, 1989.

7. Dawson MP, Smith AJ. Superbugs and the dentist: an update. Dent Update, 33: 198–200, 202–4, 207–8, 2006.

8. de Graaff J, van Amerongen WE, Mulder GR. Hygiene in dental prac-tice. Part II: Measures to reduce the risk of contamination. ASDC J Dent Child, 55: 56–63, 1988.

9. Francis JS, Doherty MC, Lopatin U, Johnston CP, Sinha G, Ross T et al. Severe community – onset pneumonia in healthy adults can methi-cillin-resistant Staphylococcus aureus carrying the Panton-Valentine leukocidin genes. Clin Infect Dis, 40: 100–08, 2005.

10. Gautier G, Noguer M, Costa N, Canela J, Vinas M. Mouthrinses: a comparative microbiological study. Bull Group Int. Rech Sci Stomatol Odontol, 42: 23–9, 2000.

11. Groppo FC, Castro FM, Pacheco AB, Motta RH, Filho TR, Ramacciato JC, Florio FM, Meechan JG. Antimicrobial resistance of Staphylococ-cus aureus and oral streptococci strains from high-risk endocarditis patients. Gen Dent, 53: 410–3, 2005.

12. Hackney Jr. RW, Crawford JJ, Tulis JJ. Using a biological indicator to detect potential source of cross-contamination in the dental operatory. J Am Dent Assoc, 129: 1567–77, 1998.

13. Haley RW, Hightower AW, Khabbaz RF, Thornsberry C, Martone WP, Allen JR et al. Possible role of the house staff-patient tranfer circuit. Ann Intern Med, 97: 297–308, 1982.

14. Horiba N, Yoshida T, Suzuki K, Maekawa Y, Ito M, Matsumoto T, Nakamura H. Isolation of methicillin-resistant staphylococci in the dental operatory. J Endod, 21: 21–5, 1995.

15. Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM; Centers for Disease Control and Prevention (CDC). Guidelines for infection control in dental health-care settings-2003. MMWR Recomm Rep, 52: 1–61, 2003.

16. Konig J, Storcks V, Kocker T, Bosmann K, Plagmann HC. Anti-plaque effect of tempered 0.2% chlorhexidine rinse: an in vivo study. J Clin Periodontol 29: 207-10, 2002.

17. Kononen E. Development of oral bacterial flora in young children. Ann Med 32: 107-12, 2000.

18. Kurita H, Kurashina K, Honda T. Nosocomial transmission of methi-cillin-resistant Staphylococcus aureus via the surfaces of the dental operatory. Br Dent J 201: 297-300, 2006.

19. Lorber M. Endocarditis from Staphylococcus aureus. JAMA 294: 2972-79, 2005.

20. Loureiro MM, Moraes BA, Quadra MRR, Pinheiro GS, Suffis PN, Asensi MD. Molecular epidemiology of methicillin resistant Staphylo-coccus aureus isolated in a hospital in Rio de Janeiro, Brazil. Mem Inst Oswaldo Cruz 95: 777-82, 2000.

21. Mattos Filho TR, Groppo FC, Pacheco AB, Motta RH, Napimoga MH. Antimicrobial susceptibility of air-dispersed microorganisms in dental settings. Gen Dent 53: 32-6, 2005.

22. Miyake Y, Iwai T, Sugai M, Miura K, Suginaka H, Nagasaka N. Inci-dence and characterization of Staphylococcus aureus from the tongues of children. J Dent Res 70: 1045-47, 1991.

23. Motta RHL, Ramacciato JC, Groppo FC, Pacheco ABND, Mattos-Filho TR. Environment contamination before, during and after dental treatment. Am J Dent 18: 340-44, 2005.

24. Motta RHL, Groppo FC, Bergamaschi CC, Ramacciato JC, Baglie S, Mattos-Filho TR. Isolation and antimicrobial resistance of Staphylo-coccus aureus isolated in a dental clinic environment. Infec Control Hosp Epidemiol 28: 185-190, 2007.

25. Murashita T, Sugiki H, Kamikubo Y, Yasuda K. Surgical results for active endocarditis with prosthetic valve replacement: impact of cul-ture-negative endocarditis on early and late outcomes. J Cardiothorac Surg 26: 1104-11, 2004.

26. Pereira ML, Carmo LS, Souki MQ, Santos EJ, Carvalho MAR, Bergdoll MS. Staphylococci from dental personnel. Braz Dent J 10: 39-45, 1999.

27. Sampson E, Dhuru VB. Infection control in North American dental schools. J Dent Educ 53: 532-7, 1989.

28. Smith AJ, Bobertson D, Tang MK, Jackson MS, Mackenzie D, Bagg J. Staphylococcus aureus in the oral cavity: a three-year retrospective analysis of clinical laboratory data. J British Dent, 195: 701-03, 2003.

29. Suzuki J, Komatsuzawa H, Kozai K, Nagasaka N. In vitro susceptibil-ity of Staphylococcus aureus including MRSA to four disinfectants. J Dent Child 64: 260-63, 1997.

30. Wood C. Controversies in cross-infection control. Brit Dent J 10: 249-51, 1993.

31. Yagiela JA, Hunt LM, Hunt DE. Disinfection of nitrous oxide inhala-tion equipment. J Am Dent Assoc 98: 191-5, 1989.

32. Zelante F, Ashcar H, Piocchi BJA, Monson CA, Cunha PS. Staphylococcus aureus na boca e no nariz de indivíduos sãos. Verificação de identidade entre as cepas isoladas. Rev Saude Publ 16: 92- 6, 1982.

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